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' , , .,�" �r ��1� I �iU�l.i I IVIV <br />��T, oF <br />everett PERMIT pERMIT N0. O8H%2 <br />CITY HAIL 259�07a5 <br />eve�eri wn �uzoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />(i1VI1Lli �IAILflUU1IL5S C:IiY ZIP VIIOfJf <br />Harold F, ibsen 7102 Beverly Blvd. 98203 353-1280 <br />nnGuttclo�aUtsicNUi MnnnoonEss crtr zir m�orvE <br />`'`""�`A�i"`��luminum 2010 Madi�'ii�on �+Ess Evere�tt 98�1��03 I��}�°N�fA L��"�'6��¢H <br />MI I:IIL WCAL GONif1ACi0R A6dL ADURE55 CIiT IiF OIIONC UGENSk � <br />i'WNOINC.LONilIFG10R MAI�PpORELS CIiY ZIP PIIONE LICEIAEf <br />CLASS Oi \YO:iK <br />}(�j(JEW L�ADUIiION ❑ALTEfiAiION ❑FEPAIq ❑DEMOLITION ❑FENCE C�SIGN ❑GARAGE <br />vntUaiioN Of woPrc <br />E 4,000.00 <br />o[sc�iHe wonn — <br />conetruct 20'x26' Carport <br />PnovosEo usE oF pullolNG <br />single family residence I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />ieaniocu:niatior+ovvnorenrvisr�owneiowonntrncr�rour+cori[s PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />ior o�ocK13 �r TYPE OF WORK WILL BE COMPLIED WITH VlHETHER SPE�IFIED <br />JOE3nUDRE55 <br />7102 Bever <br />PLUMBINO <br />Blvd. <br />N0. TYPE OF FI%TURE OR ITEM <br />IAVATORY <br />DISHWASHER <br />WATEF HEATER <br />URINAL <br />ORINKING FOUNI <br />FLOOR DRAIN <br />VACUUM OREAKE <br />ROOF ORAINS — <br />SINK �SERVICE — <br />SETBACK I 57REET <br />20'x2 <br />1 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIFEHYDRANT <br />4. FINE PflOTECTION SVSTEM <br />5 G9ADING <br />6. CRAINAGE <br />7. LNVIRONMENTAL IMPACT STATEMENT <br />8. r/EALTH DISTRICT <br />AFPLICATION ACC. �Y PLANS CHECKED 8Y <br />V.C. <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOLS NOT <br />PRESUME TO GNE AU7NORITY TO VIOLATE OR CANCEL THE PRO� <br />VIS UF ANY OTHER STATE OR LOCAL LAW REGULATING <br />NSTR CTION OR THE PERFJRMANCE OF CONSTRUCTION. <br />iIGNA10! 04 CONiRACiOR IIONIJ AGU 1 Uh1E <br />� ��`�lA� � /l�dA. 2�11�81 <br />FEE N0. 1'YPE OF EOUIPMENT <br />�ni�coNo uNits—Heen <br />iiEFRIGERAiIONUNITS—MP EA <br />BOILEHS — H P EA. <br />GAS FlRED A C UNIiS — TONNAGE EA <br />FOPC@D NR SYSiCMS — � T U M <br />WALL NEAiLPS — B T.I l A! <br />UNI7HEAlERS—BiU M <br />IIYES <br />APPfl. FOR ISSUANCE �Y <br />V[NiILAiION FAN <br />STOVE <br />METALf <br />81/8872 <br />PLUMBING <br />MECHANICAL <br />OTHE� <br />PFNAITF <br />TOTAL FEE <br />PLAN 1 <br />FEE 28.93 <br />E 4,000. <br />UBC <br />SEC.3031a� <br />FEE <br />aF7 lPg tl 7 <br />491 50 <br />441 50 <br />T VALI�ATION <br />P{IOPERLY VALIOATED �IN THIS.�SPACE� THI$ I$ YOUR PERMIT <br />] C " I' �� _ C � _. �.1 <br />�y <br />� <br />� <br />�i I � <br />l� <br />ADDRESS FILE <br />